DYNEISE TUCKER
NPI 1427683465
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Newark, NJ
- Individual
- Female
- Community Based Residential Treatment Fa...
About DYNEISE TUCKER
This page provides the complete NPI Profile along with additional information for Dyneise Tucker, a provider established in Newark, New Jersey with a medical specialization in Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1427683465 assigned on March 2020. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1427683465 Verify this NPI
- Provider Name
- DYNEISE TUCKER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 87 2ND ST APT 2 NEWARK, NJ 07107
- Location Phone
- (862) 944-8037
- Mailing Address
- 87 2ND ST APT 2 NEWARK, NJ 07107
- Mailing Phone
- (862) 944-8037
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-10-2020
- Last Update Date
- 03-10-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427683465, enumerated as an "individual" on March 10, 2020.
The provider is located at 87 2ND ST APT 2 NEWARK, NJ 07107 and the phone number is (862) 944-8037.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
